The first question when choosing a company
is stability
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With any kind
of insurance, what you buy today might not
be what you have tomorrow. If an insurance
carrier runs into financial trouble, they
can increase rates, leave the area or
business...either way you lose. In the next
3-5 years, a lot of carriers will have
difficulties because of the increasing
costs. A strong carrier is the first
concern. That being said, the "Blues" in
most States is a strong carrier.
Stability of the company means rate
stability and coverage reliability in the
future. |
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Now that
Medicare Supplements no longer cover
Prescriptions (the old H through J plans),
what make sense?
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With the new
Part D for medication, we can concentrate on
the core benefits for Medicare supplements.
Traditionally, the F plan has been a very
good value because it offers coverage for
Medicare key gaps such as the 20%
co-insurance, excess (amount providers can
charge up to 15% higher than what Medicare
allows) and the two deductibles (Part A and
B). Before Part D, we had to look at the H,
I, or J plan for medication coverage but is
no longer the case. The best value on the
market tends to be the F plan and that is
why 85% of Medicare supplement purchasers go
that direction. |
Why not go
down to the C plan then?
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By law, a provider
can charge up to 15% higher than the
standard Medicare rate and still be
considered participating. This is a
big deal for two reasons. First, you
do want to pay 15% of a $100K hospital bill
($15,000). Secondly, as the Medicare
program finds itself under more financial
pressure, reimbursement to providers will be
under pressure. This means that more
providers will likely charge the excess in
the future. This is the sole reason we
recommend the F plan over the C plan.
The C plan does not cover Excess where the F
plan does cover excess. For the small
monthly premium difference, it makes sense
to cover this potential amount. |
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